Vital Records Birth and Fetal Death Reporting
0.1.0 - STU 1 Ballot

This page is part of the Vital Records Birth and Fetal Death Reporting (v0.1.0: STU 1 on FHIR R4 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

Resource Profile: Composition - Provider Facility Fetal Death Report

Defining URL:http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-provider-facility-fetal-death-report
Version:0.1.0
Name:CompositionProviderFacilityFetalDeathReport
Title:Composition - Provider Facility Fetal Death Report
Status:Active as of 2020-12-16T19:12:11+00:00
Definition:

This Composition profile defines constraints to address the use case in which information for labor and delivery and relevant information for the fetus collected by healthcare provider staff, as primarily defined using the Facility Worksheet, is managed independently for communication to the jurisdictional Vital Records Office.

Publisher:HL7 International - Public Health Work Group
Source Resource:XML / JSON / Turtle

The official URL for this profile is:

http://hl7.org/fhir/us/bfdr/StructureDefinition/Composition-provider-facility-fetal-death-report

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Composition

Summary

Mandatory: 2 elements
Must-Support: 26 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Composition.author is sliced based on the value of profile:$this.resolve()
  • The element Composition.section is sliced based on the value of pattern:code
  • The element Composition.section.entry is sliced based on the value of profile:$this.resolve()

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... Extension-fetal-death-report-id 0..1IdentifierExtension
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-id
... Extension-fetal-death-report-file-number 0..1IdentifierExtension
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-file-number
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92021-5
... subject 1..1Reference(Patient - Decedent Fetus)Who and/or what the composition is about
... encounter S0..1Reference(Encounter - Maternity)The Encounter for the Composition is the mother's maternity encounter.
... date S1..1dateTimeDate report completed
... author 1..*(Slice Definition)Who and/or what authored the composition
Slice: Unordered, Open by profile:$this.resolve()
.... author:personCompletingReport S1..1Reference(Practitioner - Live Birth and Fetal Death)The person who completed the report.
... section 0..*(Slice Definition)The Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report.
Slice: Unordered, Open by pattern:code
.... section:motherPrenatal S0..1BackboneElementMother (prenatal) section on the Fetal Death Report
..... code 0..1CodeableConceptPrenatal records
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57073-9
..... focus 0..1Reference(Patient - Mother)The focus of this section is the mother
..... entry 0..*(Slice Definition)Entries that are contained in the Mother Prenatal section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:plannedToDeliverAtHome S0..1Reference(Observation - Planned to Deliver at Home)Planned to deliver at home
...... entry:firstPrenatalCareVisit S0..1Reference(Observation - Date of First Prenatal Care Visit)First prenatal care visit
...... entry:dateLastNormalMenses S0..1Reference(Observation - Last Menstrual Period)Date last normal menses began
...... entry:numberNowLiving S0..1Reference(Observation - Number of Births Now Living)Number of previous live births now living
...... entry:numberNowDead S0..1Reference(Observation - Number of Births Now Dead)Number of previous live births now dead
...... entry:dateLastLiveBirth S0..1Reference(Observation - Date of Last Live Birth)Date of last live birth
.... section:medicalHealthInformation S0..1BackboneElementMedical and Health Informatino section on the Fetal Death Report
..... code 0..1CodeableConceptClinical information
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55752-0
..... focus 0..1Reference(Patient - Mother)The focus of this section is the mother
..... entry 0..*(Slice Definition)Entries that are contained in the medical and health information section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:pregnancyRiskFactors S0..*Reference(Observation - Pregnancy Risk Factor)Risk factors in this pregnancy
...... entry:numberPreviousCesareans S0..1Reference(Observation - Number of Previous Cesareans)If mother had a previous cesarean delivery, how many
...... entry:fetalPresentation S0..1Reference(Condition - Fetal Presentation at Birth/Delivery)Fetal presentation at birth
...... entry:finalRouteMethodDelivery S0..1Reference(Procedure - Final Route and Method of Delivery)Final route and method of delivery
...... entry:trialLaborAttempted S0..1Reference(Observation - Labor Trial Attempted)If cesearean, was a trial of labor attempted?
...... entry:maternalMorbidity S0..*Reference(Condition - Maternal Morbidity)Maternal morbidity (complications associated with labor and delivery)
.... section:fetus S0..1BackboneElementfetus section on the Fetal Death Report
..... code 0..1CodeableConceptFetal delivery information Document [US Standard Report of Fetal Death]
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 76400-1
..... entry 0..*(Slice Definition)Entries that are contained in the fetus section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:deliveryWeight S0..1Reference(Observation - Birth Weight)Delivery weight
...... entry:gestationalAgeAtDelivery S0..1Reference(Observation - Gestational Age at Delivery)Obstetric estimate of gestation
...... entry:causeOfFetalDeath S0..1Reference(Condition - Fetal Death Cause or Condition)Initiating cause or condition of fetal death
...... entry:otherCauseOfDeath S0..*Reference(Condition - Fetal Death Other Cause or Condition)Another significant cause or condition for the death of the fetus.
...... entry:autopsyPerformed S0..1Reference(Observation - Autopsy Performed)An indication if an autopsy has been performed on the subject.
...... entry:histologicalExamPerformed S0..1Reference(Observation - Histological Placental Exam Performed)Whether or not a histological placental examination was performed.
...... entry:autopsyOrHistologicalExamUsed S0..1Reference(Observation - Autopsy or Histological Exam Results Used)Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
...... entry:plurality S0..1Reference(Observation - Plurality)Plurality - Single, Twin, Triplet, etc.

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... Extension-fetal-death-report-id 0..1IdentifierExtension
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-id
... Extension-fetal-death-report-file-number 0..1IdentifierExtension
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-file-number
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ1..1CodeableConceptProvider supplied facility fetal death report Document
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92021-5
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... category Σ0..*CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject Σ1..1Reference(Patient - Decedent Fetus)Who and/or what the composition is about
... encounter SΣ0..1Reference(Encounter - Maternity)The Encounter for the Composition is the mother's maternity encounter.
... date SΣ1..1dateTimeDate report completed
... author Σ1..*(Slice Definition)Who and/or what authored the composition
Slice: Unordered, Open by profile:$this.resolve()
.... author:personCompletingReport SΣ1..1Reference(Practitioner - Live Birth and Fetal Death)The person who completed the report.
... title Σ1..1stringHuman Readable name/title
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..*BackboneElementAttests to accuracy of composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
... custodian Σ0..1Reference(Organization)Organization which maintains the composition
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... section I0..*(Slice Definition)The Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report.
Slice: Unordered, Open by pattern:code
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:motherPrenatal SI0..1BackboneElementMother (prenatal) section on the Fetal Death Report
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptPrenatal records
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57073-9
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Patient - Mother)The focus of this section is the mother
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*(Slice Definition)Entries that are contained in the Mother Prenatal section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:plannedToDeliverAtHome SI0..1Reference(Observation - Planned to Deliver at Home)Planned to deliver at home
...... entry:firstPrenatalCareVisit SI0..1Reference(Observation - Date of First Prenatal Care Visit)First prenatal care visit
...... entry:dateLastNormalMenses SI0..1Reference(Observation - Last Menstrual Period)Date last normal menses began
...... entry:numberNowLiving SI0..1Reference(Observation - Number of Births Now Living)Number of previous live births now living
...... entry:numberNowDead SI0..1Reference(Observation - Number of Births Now Dead)Number of previous live births now dead
...... entry:dateLastLiveBirth SI0..1Reference(Observation - Date of Last Live Birth)Date of last live birth
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:medicalHealthInformation SI0..1BackboneElementMedical and Health Informatino section on the Fetal Death Report
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClinical information
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55752-0
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Patient - Mother)The focus of this section is the mother
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*(Slice Definition)Entries that are contained in the medical and health information section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:pregnancyRiskFactors SI0..*Reference(Observation - Pregnancy Risk Factor)Risk factors in this pregnancy
...... entry:numberPreviousCesareans SI0..1Reference(Observation - Number of Previous Cesareans)If mother had a previous cesarean delivery, how many
...... entry:fetalPresentation SI0..1Reference(Condition - Fetal Presentation at Birth/Delivery)Fetal presentation at birth
...... entry:finalRouteMethodDelivery SI0..1Reference(Procedure - Final Route and Method of Delivery)Final route and method of delivery
...... entry:trialLaborAttempted SI0..1Reference(Observation - Labor Trial Attempted)If cesearean, was a trial of labor attempted?
...... entry:maternalMorbidity SI0..*Reference(Condition - Maternal Morbidity)Maternal morbidity (complications associated with labor and delivery)
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:fetus SI0..1BackboneElementfetus section on the Fetal Death Report
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptFetal delivery information Document [US Standard Report of Fetal Death]
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 76400-1
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*(Slice Definition)Entries that are contained in the fetus section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:deliveryWeight SI0..1Reference(Observation - Birth Weight)Delivery weight
...... entry:gestationalAgeAtDelivery SI0..1Reference(Observation - Gestational Age at Delivery)Obstetric estimate of gestation
...... entry:causeOfFetalDeath SI0..1Reference(Condition - Fetal Death Cause or Condition)Initiating cause or condition of fetal death
...... entry:otherCauseOfDeath SI0..*Reference(Condition - Fetal Death Other Cause or Condition)Another significant cause or condition for the death of the fetus.
...... entry:autopsyPerformed SI0..1Reference(Observation - Autopsy Performed)An indication if an autopsy has been performed on the subject.
...... entry:histologicalExamPerformed SI0..1Reference(Observation - Histological Placental Exam Performed)Whether or not a histological placental examination was performed.
...... entry:autopsyOrHistologicalExamUsed SI0..1Reference(Observation - Autopsy or Histological Exam Results Used)Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
...... entry:plurality SI0..1Reference(Observation - Plurality)Plurality - Single, Twin, Triplet, etc.
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... encounter Σ0..1Reference(Encounter - Maternity)The Encounter for the Composition is the mother's maternity encounter.
... date Σ1..1dateTimeDate report completed
... author:personCompletingReport Σ1..1Reference(Practitioner - Live Birth and Fetal Death)The person who completed the report.
.... entry:plannedToDeliverAtHome I0..1Reference(Observation - Planned to Deliver at Home)Planned to deliver at home
.... entry:firstPrenatalCareVisit I0..1Reference(Observation - Date of First Prenatal Care Visit)First prenatal care visit
.... entry:dateLastNormalMenses I0..1Reference(Observation - Last Menstrual Period)Date last normal menses began
.... entry:numberNowLiving I0..1Reference(Observation - Number of Births Now Living)Number of previous live births now living
.... entry:numberNowDead I0..1Reference(Observation - Number of Births Now Dead)Number of previous live births now dead
.... entry:dateLastLiveBirth I0..1Reference(Observation - Date of Last Live Birth)Date of last live birth
... section:medicalHealthInformation I0..1BackboneElementMedical and Health Informatino section on the Fetal Death Report
.... entry:pregnancyRiskFactors I0..*Reference(Observation - Pregnancy Risk Factor)Risk factors in this pregnancy
.... entry:numberPreviousCesareans I0..1Reference(Observation - Number of Previous Cesareans)If mother had a previous cesarean delivery, how many
.... entry:fetalPresentation I0..1Reference(Condition - Fetal Presentation at Birth/Delivery)Fetal presentation at birth
.... entry:finalRouteMethodDelivery I0..1Reference(Procedure - Final Route and Method of Delivery)Final route and method of delivery
.... entry:trialLaborAttempted I0..1Reference(Observation - Labor Trial Attempted)If cesearean, was a trial of labor attempted?
.... entry:maternalMorbidity I0..*Reference(Condition - Maternal Morbidity)Maternal morbidity (complications associated with labor and delivery)
... section:fetus I0..1BackboneElementfetus section on the Fetal Death Report
.... entry:deliveryWeight I0..1Reference(Observation - Birth Weight)Delivery weight
.... entry:gestationalAgeAtDelivery I0..1Reference(Observation - Gestational Age at Delivery)Obstetric estimate of gestation
.... entry:causeOfFetalDeath I0..1Reference(Condition - Fetal Death Cause or Condition)Initiating cause or condition of fetal death
.... entry:otherCauseOfDeath I0..*Reference(Condition - Fetal Death Other Cause or Condition)Another significant cause or condition for the death of the fetus.
.... entry:autopsyPerformed I0..1Reference(Observation - Autopsy Performed)An indication if an autopsy has been performed on the subject.
.... entry:histologicalExamPerformed I0..1Reference(Observation - Histological Placental Exam Performed)Whether or not a histological placental examination was performed.
.... entry:autopsyOrHistologicalExamUsed I0..1Reference(Observation - Autopsy or Histological Exam Results Used)Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
.... entry:plurality I0..1Reference(Observation - Plurality)Plurality - Single, Twin, Triplet, etc.

doco Documentation for this format

This structure is derived from Composition

Summary

Mandatory: 2 elements
Must-Support: 26 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Composition.author is sliced based on the value of profile:$this.resolve()
  • The element Composition.section is sliced based on the value of pattern:code
  • The element Composition.section.entry is sliced based on the value of profile:$this.resolve()

Differential View

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... Extension-fetal-death-report-id 0..1IdentifierExtension
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-id
... Extension-fetal-death-report-file-number 0..1IdentifierExtension
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-file-number
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92021-5
... subject 1..1Reference(Patient - Decedent Fetus)Who and/or what the composition is about
... encounter S0..1Reference(Encounter - Maternity)The Encounter for the Composition is the mother's maternity encounter.
... date S1..1dateTimeDate report completed
... author 1..*(Slice Definition)Who and/or what authored the composition
Slice: Unordered, Open by profile:$this.resolve()
.... author:personCompletingReport S1..1Reference(Practitioner - Live Birth and Fetal Death)The person who completed the report.
... section 0..*(Slice Definition)The Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report.
Slice: Unordered, Open by pattern:code
.... section:motherPrenatal S0..1BackboneElementMother (prenatal) section on the Fetal Death Report
..... code 0..1CodeableConceptPrenatal records
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57073-9
..... focus 0..1Reference(Patient - Mother)The focus of this section is the mother
..... entry 0..*(Slice Definition)Entries that are contained in the Mother Prenatal section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:plannedToDeliverAtHome S0..1Reference(Observation - Planned to Deliver at Home)Planned to deliver at home
...... entry:firstPrenatalCareVisit S0..1Reference(Observation - Date of First Prenatal Care Visit)First prenatal care visit
...... entry:dateLastNormalMenses S0..1Reference(Observation - Last Menstrual Period)Date last normal menses began
...... entry:numberNowLiving S0..1Reference(Observation - Number of Births Now Living)Number of previous live births now living
...... entry:numberNowDead S0..1Reference(Observation - Number of Births Now Dead)Number of previous live births now dead
...... entry:dateLastLiveBirth S0..1Reference(Observation - Date of Last Live Birth)Date of last live birth
.... section:medicalHealthInformation S0..1BackboneElementMedical and Health Informatino section on the Fetal Death Report
..... code 0..1CodeableConceptClinical information
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55752-0
..... focus 0..1Reference(Patient - Mother)The focus of this section is the mother
..... entry 0..*(Slice Definition)Entries that are contained in the medical and health information section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:pregnancyRiskFactors S0..*Reference(Observation - Pregnancy Risk Factor)Risk factors in this pregnancy
...... entry:numberPreviousCesareans S0..1Reference(Observation - Number of Previous Cesareans)If mother had a previous cesarean delivery, how many
...... entry:fetalPresentation S0..1Reference(Condition - Fetal Presentation at Birth/Delivery)Fetal presentation at birth
...... entry:finalRouteMethodDelivery S0..1Reference(Procedure - Final Route and Method of Delivery)Final route and method of delivery
...... entry:trialLaborAttempted S0..1Reference(Observation - Labor Trial Attempted)If cesearean, was a trial of labor attempted?
...... entry:maternalMorbidity S0..*Reference(Condition - Maternal Morbidity)Maternal morbidity (complications associated with labor and delivery)
.... section:fetus S0..1BackboneElementfetus section on the Fetal Death Report
..... code 0..1CodeableConceptFetal delivery information Document [US Standard Report of Fetal Death]
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 76400-1
..... entry 0..*(Slice Definition)Entries that are contained in the fetus section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:deliveryWeight S0..1Reference(Observation - Birth Weight)Delivery weight
...... entry:gestationalAgeAtDelivery S0..1Reference(Observation - Gestational Age at Delivery)Obstetric estimate of gestation
...... entry:causeOfFetalDeath S0..1Reference(Condition - Fetal Death Cause or Condition)Initiating cause or condition of fetal death
...... entry:otherCauseOfDeath S0..*Reference(Condition - Fetal Death Other Cause or Condition)Another significant cause or condition for the death of the fetus.
...... entry:autopsyPerformed S0..1Reference(Observation - Autopsy Performed)An indication if an autopsy has been performed on the subject.
...... entry:histologicalExamPerformed S0..1Reference(Observation - Histological Placental Exam Performed)Whether or not a histological placental examination was performed.
...... entry:autopsyOrHistologicalExamUsed S0..1Reference(Observation - Autopsy or Histological Exam Results Used)Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
...... entry:plurality S0..1Reference(Observation - Plurality)Plurality - Single, Twin, Triplet, etc.

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... Extension-fetal-death-report-id 0..1IdentifierExtension
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-id
... Extension-fetal-death-report-file-number 0..1IdentifierExtension
URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Extension-fetal-death-report-file-number
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierVersion-independent identifier for the Composition
... status ?!Σ1..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ1..1CodeableConceptProvider supplied facility fetal death report Document
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92021-5
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... category Σ0..*CodeableConceptCategorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


... subject Σ1..1Reference(Patient - Decedent Fetus)Who and/or what the composition is about
... encounter SΣ0..1Reference(Encounter - Maternity)The Encounter for the Composition is the mother's maternity encounter.
... date SΣ1..1dateTimeDate report completed
... author Σ1..*(Slice Definition)Who and/or what authored the composition
Slice: Unordered, Open by profile:$this.resolve()
.... author:personCompletingReport SΣ1..1Reference(Practitioner - Live Birth and Fetal Death)The person who completed the report.
... title Σ1..1stringHuman Readable name/title
... confidentiality Σ0..1codeAs defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..*BackboneElementAttests to accuracy of composition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
... custodian Σ0..1Reference(Organization)Organization which maintains the composition
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event Σ0..*BackboneElementThe clinical service(s) being documented
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... section I0..*(Slice Definition)The Composition is broken into sections that, where possible, align with the sections in the Fetal Death Report.
Slice: Unordered, Open by pattern:code
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClassification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*Reference(Resource)A reference to data that supports this section
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:motherPrenatal SI0..1BackboneElementMother (prenatal) section on the Fetal Death Report
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptPrenatal records
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57073-9
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Patient - Mother)The focus of this section is the mother
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*(Slice Definition)Entries that are contained in the Mother Prenatal section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:plannedToDeliverAtHome SI0..1Reference(Observation - Planned to Deliver at Home)Planned to deliver at home
...... entry:firstPrenatalCareVisit SI0..1Reference(Observation - Date of First Prenatal Care Visit)First prenatal care visit
...... entry:dateLastNormalMenses SI0..1Reference(Observation - Last Menstrual Period)Date last normal menses began
...... entry:numberNowLiving SI0..1Reference(Observation - Number of Births Now Living)Number of previous live births now living
...... entry:numberNowDead SI0..1Reference(Observation - Number of Births Now Dead)Number of previous live births now dead
...... entry:dateLastLiveBirth SI0..1Reference(Observation - Date of Last Live Birth)Date of last live birth
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:medicalHealthInformation SI0..1BackboneElementMedical and Health Informatino section on the Fetal Death Report
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptClinical information
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 55752-0
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Patient - Mother)The focus of this section is the mother
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*(Slice Definition)Entries that are contained in the medical and health information section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:pregnancyRiskFactors SI0..*Reference(Observation - Pregnancy Risk Factor)Risk factors in this pregnancy
...... entry:numberPreviousCesareans SI0..1Reference(Observation - Number of Previous Cesareans)If mother had a previous cesarean delivery, how many
...... entry:fetalPresentation SI0..1Reference(Condition - Fetal Presentation at Birth/Delivery)Fetal presentation at birth
...... entry:finalRouteMethodDelivery SI0..1Reference(Procedure - Final Route and Method of Delivery)Final route and method of delivery
...... entry:trialLaborAttempted SI0..1Reference(Observation - Labor Trial Attempted)If cesearean, was a trial of labor attempted?
...... entry:maternalMorbidity SI0..*Reference(Condition - Maternal Morbidity)Maternal morbidity (complications associated with labor and delivery)
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:fetus SI0..1BackboneElementfetus section on the Fetal Death Report
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 0..1stringLabel for section (e.g. for ToC)
..... code 0..1CodeableConceptFetal delivery information Document [US Standard Report of Fetal Death]
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 76400-1
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1NarrativeText summary of the section, for human interpretation
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*(Slice Definition)Entries that are contained in the fetus section
Slice: Unordered, Open by profile:$this.resolve()
...... entry:deliveryWeight SI0..1Reference(Observation - Birth Weight)Delivery weight
...... entry:gestationalAgeAtDelivery SI0..1Reference(Observation - Gestational Age at Delivery)Obstetric estimate of gestation
...... entry:causeOfFetalDeath SI0..1Reference(Condition - Fetal Death Cause or Condition)Initiating cause or condition of fetal death
...... entry:otherCauseOfDeath SI0..*Reference(Condition - Fetal Death Other Cause or Condition)Another significant cause or condition for the death of the fetus.
...... entry:autopsyPerformed SI0..1Reference(Observation - Autopsy Performed)An indication if an autopsy has been performed on the subject.
...... entry:histologicalExamPerformed SI0..1Reference(Observation - Histological Placental Exam Performed)Whether or not a histological placental examination was performed.
...... entry:autopsyOrHistologicalExamUsed SI0..1Reference(Observation - Autopsy or Histological Exam Results Used)Whether or not the results of a performed autopsy or a performed histological placental examination were used as part of determining the cause of death.
...... entry:plurality SI0..1Reference(Observation - Plurality)Plurality - Single, Twin, Triplet, etc.
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

PathConformanceValueSet / Code
Composition.languagepreferredCommonLanguages
Max Binding: AllLanguages
Composition.statusrequiredCompositionStatus
Composition.typepreferredPattern: LOINC code 92021-5
Composition.categoryexampleDocumentClassValueSet
Composition.confidentialityrequiredv3.ConfidentialityClassification
Composition.attester.moderequiredCompositionAttestationMode
Composition.relatesTo.coderequiredDocumentRelationshipType
Composition.event.codeexamplev3.ActCode
Composition.section.codeexampleDocumentSectionCodes
Composition.section.moderequiredListMode
Composition.section.orderedBypreferredListOrderCodes
Composition.section.emptyReasonpreferredListEmptyReasons
Composition.section:motherPrenatal.codeexamplePattern: LOINC code 57073-9
Composition.section:motherPrenatal.moderequiredListMode
Composition.section:motherPrenatal.orderedBypreferredListOrderCodes
Composition.section:motherPrenatal.emptyReasonpreferredListEmptyReasons
Composition.section:medicalHealthInformation.codeexamplePattern: LOINC code 55752-0
Composition.section:medicalHealthInformation.moderequiredListMode
Composition.section:medicalHealthInformation.orderedBypreferredListOrderCodes
Composition.section:medicalHealthInformation.emptyReasonpreferredListEmptyReasons
Composition.section:fetus.codeexamplePattern: LOINC code 76400-1
Composition.section:fetus.moderequiredListMode
Composition.section:fetus.orderedBypreferredListOrderCodes
Composition.section:fetus.emptyReasonpreferredListEmptyReasons

Constraints

IdPathDetailsRequirements
dom-2CompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3CompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4CompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5CompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6CompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1Composition.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.extension:sliceFetalDeathReportIdAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.extension:sliceFetalDeathReportIdMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.extension:sliceFetalDeathReportFileNumberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.extension:sliceFetalDeathReportFileNumberMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.dateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.author:personCompletingReportAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.confidentialityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attesterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.attester.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.attester.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.attester.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.attester.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester.timeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.attester.partyAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.custodianAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.relatesToAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.relatesTo.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.relatesTo.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.relatesTo.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.relatesTo.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.relatesTo.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.relatesTo.target[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.eventAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.event.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.event.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.event.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.event.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.event.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.event.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.event.detailAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.section:motherPrenatalA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.section:motherPrenatalA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.section:motherPrenatalAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:motherPrenatal.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:motherPrenatal.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:motherPrenatal.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:motherPrenatal.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entry:plannedToDeliverAtHomeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entry:firstPrenatalCareVisitAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entry:dateLastNormalMensesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entry:numberNowLivingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entry:numberNowDeadAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.entry:dateLastLiveBirthAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:motherPrenatal.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.section:medicalHealthInformationA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.section:medicalHealthInformationA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.section:medicalHealthInformationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:medicalHealthInformation.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:medicalHealthInformation.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:medicalHealthInformation.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:medicalHealthInformation.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.entry:pregnancyRiskFactorsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.entry:numberPreviousCesareansAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.entry:fetalPresentationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.entry:finalRouteMethodDeliveryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.entry:trialLaborAttemptedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.entry:maternalMorbidityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:medicalHealthInformation.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cmp-1Composition.section:fetusA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2Composition.section:fetusA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
ele-1Composition.section:fetusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:fetus.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:fetus.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Composition.section:fetus.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Composition.section:fetus.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.orderedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.entry:deliveryWeightAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.entry:gestationalAgeAtDeliveryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.entry:causeOfFetalDeathAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.entry:otherCauseOfDeathAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.entry:autopsyPerformedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.entry:histologicalExamPerformedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.entry:autopsyOrHistologicalExamUsedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.entry:pluralityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.emptyReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Composition.section:fetus.sectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())